<!DOCTYPE HTML>
<html lang="zh-CN">
<head>
    <meta charset="UTF-8">
    <title>随访计划-诊所随访</title>
    <meta name="viewport" content="initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
    <link rel="icon" href="../../img/favicon.png">
    <link rel="stylesheet" href="../../css/plugins/bootstrap-3.3.5.css" />
    <link rel="stylesheet" href="../../css/plugins/bootstrap-datetimepicker.css" />
    <link rel="stylesheet" href="../../css/plugins/bootstrap-material-design.css">
    <link rel="stylesheet" href="http://cdn.bootcss.com/material-design-icons/2.2.0/iconfont/material-icons.css">
    <link rel="stylesheet" href="../../css/plugins/ripples.css">
    <link rel="stylesheet" href="../../css/style-plan-list.css" />
</head>
<body data-sort="2">
<div class="outer">
    <% include ../header.inc.html %>
    <% include ../left.menu.inc.html %>
    <div class="body-box">
        <div class="fu-list-box">
            <ul class="fu-list" id="moreListBox">

            </ul>
            <a href="javascript:;" class="check-more" data-loading="true"><i class="material-icons loading">&#xE5D5;</i></a>
        </div>
        <div class="operate-cover"></div>
        <div class="operate-box">
            <a href="javascript:;" class="main-btn"><i class="material-icons">&#xE145;</i></a>
        </div>
        <div class="modal fade" id="addFollowModal">
            <div class="modal-dialog">
                <div class="modal-content">
                    <div class="modal-header">
                        <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
                        <h4 class="modal-title">新建随访计划</h4>
                    </div>
                    <div class="modal-body">
                        <p><form class="form-horizontal">
                            <div class="form-group is-empty">
                                <label for="inputPhone" class="col-md-2 control-label">患者手机</label>
                                <div class="col-md-10">
                                    <input type="number" class="form-control" id="inputPhone">
                                </div>
                                <span class="material-input"></span><span class="material-input"></span>
                            </div>
                            <div class="form-group is-empty">
                                <label for="inputName" class="col-md-2 control-label">患者姓名</label>
                                <div class="col-md-10">
                                    <input type="text" class="form-control" id="inputName" maxlength="10">
                                </div>
                                <span class="material-input"></span><span class="material-input"></span>
                            </div>
                            <div class="form-group">
                                <label for="select111" class="col-md-2 control-label">随访模板</label>
                                <div class="col-md-10">
                                    <select id="select111" class="form-control"></select>
                                </div>
                           </div>
                            <div class="form-group">
                                <label for="selectTime" class="col-md-2 control-label">开始时间</label>
                                <div class="col-md-10">
                                    <input type="text" readonly class="form-control" data-date-format="yyyy-mm-dd" id="selectTime">
                                </div>
                            </div>
                    </form></p>
                    </div>
                    <div class="modal-footer">
                        <button type="button" class="btn btn-raised btn-default" data-dismiss="modal">取消</button>
                        <button type="button" class="btn btn-raised btn-info" id="enterCreateBtn">完成</button>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<script src="../../js/plugins/jquery-1.10.1.js"></script>
<script src="../../js/plugins/bootstrap-3.3.5.js"></script>
<script src="../../js/plugins/bootstrap-datetimepicker.js"></script>
<script src="../../js/plugins/material.js"></script>
<script src="../../js/plugins/ripples.js"></script>
<script src="../../js/config.js"></script>
<!-- build:js ../../js/plan-list-all.js -->
<script src="../../js/com-base.js"></script>
<script src="../../js/com-header.js"></script>
<script src="../../js/com-left-menu.js"></script>
<script src="../../js/com-request.js"></script>
<script src="../../js/plan-list.js"></script>
<!-- endbuild -->
</body>
</html>